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Individual

O'SHECIA YA'SHECA-SHEBASS WYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2117 DR GEORGE WARD RD, ELBERTON, GA 30635-5971
(706) 283-3335
Mailing address
1845 FORMOSA DR, AUGUSTA, GA 30906-5810
(706) 401-4784

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001345
GA

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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